Images in Intensive Medicine
Propofol-induced non-convulsive epileptic crisis
Crisis epiléptica no convulsiva inducida por propofol
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Zabalegui, M. Arroyo Diez, R.A. Peláez Cruz" "autores" => array:3 [ 0 => array:4 [ "nombre" => "A." "apellidos" => "Zabalegui" "email" => array:1 [ 0 => "azabalegui@saludcastillayleon.es" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "M." "apellidos" => "Arroyo Diez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "R.A." "apellidos" => "Peláez Cruz" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Medicina Intensiva, Hospital Universitario de Burgos, Burgos, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Neurofisiología Clínica, Hospital Universitario de Burgos, Burgos, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Crisis epiléptica no convulsiva inducida por propofol" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1295 "Ancho" => 2667 "Tamanyo" => 871425 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Patient admitted to the ICU due to idiopathic super-refractory status epilepticus monitored through EEG and bilateral BIS simultaneously.</p><p id="par0010" class="elsevierStylePara elsevierViewall">The basal EEG shows low-amplitude mixed activity with isolated epileptiform discharges in frontocentral regions. After the administration of one 20<span class="elsevierStyleHsp" style=""></span>mg bolus of IV propofol (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>, blue arrow) we can see an increased epileptiform activity evolving towards rhythmic acute slow-wave pattern at 2–3<span class="elsevierStyleHsp" style=""></span>Hz (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">The density spectral array of bilateral BIS, from 13:09 to 13:13<span class="elsevierStyleHsp" style=""></span>h, shows a dark brown self-limited interval (<a class="elsevierStyleCrossRef" href="#fig0015">Fig. 3</a>, red arrows) consistent with the rhythmic pattern at 2–3<span class="elsevierStyleHsp" style=""></span>Hz (both the BIS value and the EEG were taken at 13:26<span class="elsevierStyleHsp" style=""></span>h).</p><elsevierMultimedia ident="fig0015"></elsevierMultimedia><p id="par0020" class="elsevierStylePara elsevierViewall">The pattern is consistent with non-convulsive epileptic seizure that regressed spontaneously in 4<span class="elsevierStyleHsp" style=""></span>min.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Zabaleguia A, Arroyo Diez M, Peláez Cruz RA. Crisis epiléptica no convulsiva inducida por propofol. Med Intensiva. 2018;42:e13–e14.</p>" ] ] "multimedia" => array:3 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1463 "Ancho" => 2667 "Tamanyo" => 827375 ] ] ] 1 => array:6 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1295 "Ancho" => 2667 "Tamanyo" => 871425 ] ] ] 2 => array:6 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 1238 "Ancho" => 1708 "Tamanyo" => 278926 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735727/0000004200000006/v1_201807240414/S2173572718300973/v1_201807240414/en/main.assets" "Apartado" => array:4 [ "identificador" => "64602" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in Intensive Medicine" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735727/0000004200000006/v1_201807240414/S2173572718300973/v1_201807240414/en/main.pdf?idApp=WMIE&text.app=https://medintensiva.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572718300973?idApp=WMIE" ]
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